How much rates vary
Facilitymedian $589 · 10th to 90th $79 to $4,898Professionalmedian $229 · 10th to 90th $71 to $447
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $245.47 Median $2,344.23 Typical High $8,317.64 | Facility | None | $245.47 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $229.09 Typical High $245.47 | Professional | None | $69.18 | $229.09 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $50.12 Typical High $123.03 | Professional | 52 · Reduced service | $34.67 | $50.12 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $20.42 Typical High $50.12 | Professional | 53 · Discontinued | $13.80 | $20.42 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $75.86 Typical High $186.21 | Professional | 54 · Surgery only | $52.48 | $75.86 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $15.14 Typical High $37.15 | Professional | 55 · Aftercare only | $10.47 | $15.14 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $10.00 Typical High $24.55 | Professional | 56 · Pre-op care only | $6.92 | $10.00 | $24.55 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $5,011.87 Typical High $56,234.13 | Facility | None | $3,981.07 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $229.09 Median $380.19 Typical High $537.03 | Professional | None | $229.09 | $380.19 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $630.96 Typical High $1,174.90 | Facility | None | $457.09 | $630.96 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $218.78 Typical High $446.68 | Professional | None | $74.13 | $218.78 | $446.68 |
Emblem Health Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $398.11 | Professional | None | $389.05 | $389.05 | $398.11 |
Geisinger Setting Professional Modifier None Typical Low $93.33 Median $295.12 Typical High $398.11 | Professional | None | $93.33 | $295.12 | $398.11 |
Martin's Point Setting Facility Modifier None Typical Low $426.58 Median $2,137.96 Typical High $7,244.36 | Facility | None | $426.58 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $69.18 Median $229.09 Typical High $245.47 | Professional | None | $69.18 | $229.09 | $245.47 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $50.12 Typical High $123.03 | Professional | 52 · Reduced service | $34.67 | $50.12 | $123.03 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $20.42 Typical High $50.12 | Professional | 53 · Discontinued | $13.80 | $20.42 | $50.12 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $75.86 Typical High $186.21 | Professional | 54 · Surgery only | $52.48 | $75.86 | $186.21 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $15.14 Typical High $37.15 | Professional | 55 · Aftercare only | $10.47 | $15.14 | $37.15 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $10.00 Typical High $24.55 | Professional | 56 · Pre-op care only | $6.92 | $10.00 | $24.55 |
Oscar Health Setting Professional Modifier None Typical Low $281.84 Median $316.23 Typical High $346.74 | Professional | None | $281.84 | $316.23 | $346.74 |
UPMC Health Plan Setting Facility Modifier None Typical Low $70.79 Median $645.65 Typical High $1,258.93 | Facility | None | $70.79 | $645.65 | $1,258.93 |
UPMC Health Plan Setting Professional Modifier None Typical Low $70.79 Median $229.09 Typical High $302.00 | Professional | None | $70.79 | $229.09 | $302.00 |
United Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $1,230.27 | Facility | None | $70.79 | $141.25 | $1,230.27 |
United Setting Professional Modifier None Typical Low $75.86 Median $181.97 Typical High $446.68 | Professional | None | $75.86 | $181.97 | $446.68 |
Where Pennsylvania sits
The same service costs 4.5 times more in Oklahoma than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Pennsylvania· 35th of 51
$229
OK $575NE $129
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.